• Save
mHealth Symposium 2013 Michele Torresani
Upcoming SlideShare
Loading in...5
×
 

Like this? Share it with your network

Share

mHealth Symposium 2013 Michele Torresani

on

  • 366 views

 

Statistics

Views

Total Views
366
Views on SlideShare
366
Embed Views
0

Actions

Likes
0
Downloads
0
Comments
0

0 Embeds 0

No embeds

Accessibility

Upload Details

Uploaded via as Adobe PDF

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

mHealth Symposium 2013 Michele Torresani Presentation Transcript

  • 1. Fondazione IRCCSIstituto Nazionale dei TumoriFondazione IRCCSIstituto Nazionale dei TumoriSession 6 - Integrating mHealth into the Hospital EnvironmentAIDC and Mobile technologies supporting innovationin Clinical Process ManagementMichele TorresaniFondazione IRCCS Istituto Nazionale dei Tumori di Milano14 May 2013 Dublin, Ireland
  • 2. Who’s whoFounded in 1925, the Fondazione IRCCS Istituto Nazionale dei Tumori in Milan is atop-tier Scientific Research and Treatment Institution in the field of pre-clinical andclinical oncology research and careINT in 2011:• 13,700 in-patients• 9,600 day-hospital patients admission• 482 beds• 1,1 milions out-patients treatment• 11,500 surgical operations Istituto Nazionale dei TumoriFondazione IRCCSIstituto Nazionale dei Tumori2• 11,500 surgical operations• ≈ 1,900 employees• ≈ 230 Ml€ budget• ≈ 2% ICT budget• 18 ICT staff people• 13,000 HD tickets resolved• 2,000 workstationsIstituto Nazionale dei TumoriAmadeo LabCascina Rosa
  • 3. Outline• Clinical Process Management: open issues and ICT support• Applying ICTs at Istituto Nazionale dei Tumori di Milano• The stem cells project• Lessons learnedFondazione IRCCSIstituto Nazionale dei Tumori3
  • 4. Scope of the AnalysisMost of the threats to patient safety are process-related, rather than clinical. SomeIncluding a number of different processes aspharmacotherapy, chemotherapy, radiotherapy, bloodtransfusions, medications, and moreClinical Process Management involves aspects of bothdiagnostic and therapeutic processes, in terms of staffworkflow activities and direct contact with the patientFondazione IRCCSIstituto Nazionale dei Tumori4Access to patient information Often time-expensiveProfessionals roles and clinical procedures High complexityProcedures, documents and clinical practice Not standardizedTraceability of activities Difficult, paperworkShare of knowledge and expertise Limited, data dispersionTechnology application supporting the process Local and specialty-relatedMost of the threats to patient safety are process-related, rather than clinical. Someissues are:
  • 5. ICT tools supporting clinical processesAutomatic Identificationand Data Capture(AIDC) Technology• Bar Code• Card Technologies• Radio Frequency Identification• Real Time Locating Systems• …Mobile&Wirelesssolution• Personal Computer• Tablet PC• Personal Digital Assistant (PDA)• Smartphone• …Electronic PatientRecordIt is responsible for thecentralized management ofpatients data anddocuments during eachclinical episodeFondazione IRCCSIstituto Nazionale dei Tumori5• … clinical episodeAlthough the high potential of ICTs in Clinical Process Management there’s a lack of adequatesolutions supporting together process safety, clinical activities and clinical risk managementMany organizations started ICT projects based on Mobile AIDC integrated solution• To ensure reliable patient identification throughout all processes• To enable process traceability• To support clinical staff in performing activities• To improve governance and cost control
  • 6. Outline• Clinical Process Management: open issues and ICT support• Applying ICTs at Istituto Nazionale dei Tumori di Milano• The stem cells project• Lessons learnedFondazione IRCCSIstituto Nazionale dei Tumori6
  • 7. Blood Transfusion Chemoterapy Stem CellstransplantationOperating Roomand BiobankingMobile Clinical Process Management platformProcess traceability & safety of bedside operationsFondazione IRCCSIstituto Nazionale dei TumoriICT infrastructureHospital Information System (HIS)Staff & Patientidentification7
  • 8. Safer Transfusions with the RFId mobile solutionFondazione IRCCSIstituto Nazionale dei Tumori8AdoptingCDOs
  • 9. Integrated approach to ChemotherapyPatient identification(RFId wrisband)TherapyprescriptionChemotherapycompoundingTherapyadministrationINT’s RFId traceability platformINT’s RFId traceability platformFondazione IRCCSIstituto Nazionale dei Tumori9Key elements of innovation:• Assurance of patient identification• GMP Compliant laboratory for compounding of Cytotoxic, Non-cytotoxic, TPN,Experimental drugs• Process Traceability and Quality monitoring through digitalization of all information flowsTherapy management systemTherapy management systemINT’s RFId traceability platformINT’s RFId traceability platform
  • 10. Surgical samples trasportation with a smart trolleySample transportation from the OR to the AP lab is managed and traced through asmart trolley that allows:• RFId detection of new tissue samples taken from surgery and loaded on the cart• Tracking process lead times• Temperature monitoring (RFId active sensors)Fondazione IRCCSIstituto Nazionale dei TumoriSamplesRfiddetectionUserauthentication(RFId badge)Sample’stemperaturemonitoring10
  • 11. Outline• Clinical Process Management: open issues and ICT support• Applying ICTs at Istituto Nazionale dei Tumori di Milano• The stem cells project• Lessons learnedFondazione IRCCSIstituto Nazionale dei Tumori11
  • 12. Stem cells management and transplantationResearchINT’s dr. Montefusco leads the research project, funded by the Italian Ministry of HealthFondazione IRCCSIstituto Nazionale dei Tumori12Transfusion Service Stem Cells Lab TransplantationUnitProject aims:• General value process model• ICT solution, interoperable with theHIS, supporting the whole processProject aims:• General value process model• ICT solution, interoperable with theHIS, supporting the whole process• Process fragmentation throughdifferent Units• Lack of adeguate IT support at tank-and bed-side• Paperwork• Process fragmentation throughdifferent Units• Lack of adeguate IT support at tank-and bed-side• Paperwork
  • 13. RFId and mobile IT support to stem cells process…………………………………………………………FractioningDonation Pre-storage StorageCASE(bag inaluminum)IDID+1RackAA1A21ID+2……ID+1Fondazione IRCCSIstituto Nazionale dei Tumori13…………………………………CheckDe-freezeAdministrationLiquid NitrogenTank 1IDRackA3A41ID+n…ID+1ID+1…ID+1PickingStock check
  • 14. Mobile solution for laboratory logisticsAndroid app (with NFC)Stem cells bagStorage location recordingFondazione IRCCSIstituto Nazionale dei Tumori14Stem cells bagLiquid Nitrogen tank and racksPicking support
  • 15. Outline• Clinical Process Management: open issues and ICT support• Applying ICTs at Istituto Nazionale dei Tumori di Milano• The stem cells project• Lessons learnedFondazione IRCCSIstituto Nazionale dei Tumori15
  • 16. Adoption of innovation in Public HDO meets a lotof difficulties due to deep-rooted organizationalhabits and rules.This is stronger in Bureaucratic organizations arefocused on Functions, while a process-drivenapproach is neededDiscussionImplementing RFID technology enterprise-wide is not soeasy because extensive tests are needed to assessFondazione IRCCSIstituto Nazionale dei TumoriSpecific laws and implementation guidelines would assistHDOs in effectively introduting RFId technologies.Electromagnetic compatibility tests are needed to ensuresafety of applications (especially affecting biological materials)16easy because extensive tests are needed to assessinteroperability between different solutions.Co-design is reccomended for achieving effectivesolutions that aren’t off-the-shelf
  • 17. Fondazione IRCCSIstituto Nazionale dei TumoriFondazione IRCCSIstituto Nazionale dei TumoriThank you!Michele Torresanimichele.torresani@istitutotumori.mi.it